Common Contracts
2 similar Provider Enrollment Agreement contracts
• EDI Provider Agreement and Enrollment FormProvider Enrollment Agreement • August 9th, 2016
• Once you have received notification that you have been linked, you MUST contact Office Ally at (360) 975-7000 Option 1 to notify us of the approval BEFORE submitting claims electronically.
• EDI Provider Agreement and Enrollment FormProvider Enrollment Agreement • August 4th, 2014
• Once you have received notification that you have been linked, you MUST contact Office Ally at (360) 975- 7000 option 1 and notify us of the approval PRIOR to submitting claims electronically
